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North Dakota rates for HCPCS 90958

End-stage renal disease (ESRD) related services monthly, for patients 12-19 years of age to include monitoring for the adequacy of nutrition, assessment of growth and development, and counseling of parents; with 2-3 face-to-face visits by a physician or other qualified health care professional per month

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$439.11 / $439.11 / $439.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$439.11 / $500.07 / $586.16
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$979.71 / $1,152.59 / $1,263.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$471.86 / $1,001.05 / $1,611.99
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$439.11 / $683.69 / $937.26
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$438.50 / $755.70 / $3,624.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$438.50 / $693.54 / $987.98